| NPI | 1033666953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 1373) |
| 103TC0700X Psychologist, Clinical (Licence: ME PS2552) | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-01-09 |